Provider Demographics
NPI:1366509168
Name:BINKERD, RAYMOND SCOTT (DC)
Entity type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:SCOTT
Last Name:BINKERD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 E ASPEN AVE
Mailing Address - Street 2:
Mailing Address - City:FRUITA
Mailing Address - State:CO
Mailing Address - Zip Code:81521-2206
Mailing Address - Country:US
Mailing Address - Phone:970-639-9730
Mailing Address - Fax:970-639-2750
Practice Address - Street 1:431 E 5600 S
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-6261
Practice Address - Country:US
Practice Address - Phone:801-262-2651
Practice Address - Fax:801-262-7038
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT174276-1202111N00000X
IA4045111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCHR.0008515OtherCOLORADO DIVISION OF PROFESSIONS AND OCCUPATIONS
UT1742761202OtherUTAH STATE LICENSE